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Challenges and facilitators during transitions from adolescent medium secure units to adult services in England : interviews with mental healthcare professionals
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Livanou, Maria, D'Souza, Sophie, Lane, Rebecca, La Plante, Breanna and Singh, Swaran P. (2021) Challenges and facilitators during transitions from adolescent medium secure units to adult services in England : interviews with mental healthcare professionals. Administration and Policy in Mental Health and Mental Health Services Research . doi:10.1007/s10488-021-01115-9 ISSN 0894-587X.
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WRAP-challenges-facilitators-during-transitions-adolescent-medium-secure-units-adult-services-England-Singh-2021.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (687Kb) | Preview |
Official URL: http://dx.doi.org/10.1007/s10488-021-01115-9
Abstract
Young people moving from child and adolescent secure hospitals present with complex needs and vulnerabilities and are more likely to experience poor transition outcomes. Previous research has indicated the presence of several risk factors in periods of transition, such as poor liaison among services, lack of proper planning, shortage of beds in adult services, multiple transitions and lack of emotional readiness. However, little evidence exists about the processes and outcomes of transitions from adolescent secure services to adult settings. This study aims to bridge the gap in the existing literature by exploring the views and experiences of key professionals involved in the transition process from six adolescent medium secure units to nine adult secure and community services in England. Thirty-four key workers from 15 child and adolescent (N = 21) and adult (N = 13) forensic hospitals were interviewed to provide information about potential barriers and facilitators to transitions. Face-to-face semi-structured interviews were conducted between January 2016 and December 2017. Thematic analysis was used to identify challenges and facilitators to transitions. Three primary themes were identified: (1) transition processes and preparation; (2) transition barriers and challenges; (3) success factors to transition. Key differences in adult and adolescent service care-models and lack of emotional and developmental readiness to moving onto adult-oriented settings constitute major barriers to positive transition outcomes. Practice and policy implications are considered to address the need for service transformations.
| Item Type: | Journal Article | |||||||||
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| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine R Medicine > RJ Pediatrics |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| SWORD Depositor: | Library Publications Router | |||||||||
| Library of Congress Subject Headings (LCSH): | Teenagers -- Mental health services -- England, Adolescent psychiatry , Mentally ill teenagers , Mentally ill teenagers -- Care, Mental health facilities, Mental health facilities -- Employees | |||||||||
| Journal or Publication Title: | Administration and Policy in Mental Health and Mental Health Services Research | |||||||||
| Publisher: | Springer | |||||||||
| ISSN: | 0894-587X | |||||||||
| Official Date: | 24 February 2021 | |||||||||
| Dates: |
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| DOI: | 10.1007/s10488-021-01115-9 | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | Published | |||||||||
| Access rights to Published version: | Open Access (Creative Commons) | |||||||||
| Date of first compliant deposit: | 14 July 2021 | |||||||||
| Date of first compliant Open Access: | 14 July 2021 | |||||||||
| RIOXX Funder/Project Grant: |
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